Individual provider Active NPI

Gina Bryant, NP

  • Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1487104907
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A004921 Issued in AR
Practice address
1 Mercy LN Ste 304
Hot Springs, AR 71913-6440
Phone
(501) 321-4772
NPI assigned
Oct 7, 2016
Last updated
Oct 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A004921 AR Primary

Addresses

Primary practice location

1 Mercy LN Ste 304
Hot Springs, AR 71913-6440

Mailing address

1 Mercy LN Ste 304
Hot Springs, AR 71913-6440
Phone (501) 321-4772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180130000108 LA Practitioner - Nurse Practitioner 3375825920 Reassigns benefits to 1 organization
I20260414002574 TX Practitioner - Nurse Practitioner 3375825920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Louisiana Nephrology, LLCGroup PAC ID 7911996509, 24 clinicians

Practice addresses (Care Compare)

1800 Buckner St
Shreveport, LA 71101-4453
Phone (318) 227-8899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.02 of 100Reported as group
Quality
66.64
Promoting interoperability
100
Improvement activities
40
Cost
70.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A004921ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Louisiana Nephrology, LLC CurrentSince Jan 2, 2018 Accepting new patients

Locations

1800 Buckner St
Ste C120
Shreveport, LA 71101
Phone (318) 227-8899

2501 Greenwood Rd
Shreveport, LA 71103
Phone (318) 631-1584

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1487104907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCY LN STE 304",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136440",
            "telephone_number": "501-321-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN STE 304",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136440",
            "telephone_number": "501-321-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "GINA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.